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DSH030006E TUCSON MEDICAL CENTER (Active)
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Main Details
Name
TUCSON MEDICAL CENTER
Subdivision Name
Peppi's House
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH030006E
Medicare Provider Number
030006
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/9/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/15/2015
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
TMCH
Steve Reichling, CFO
(520) 327-5461
Primary Contact
Tucson Medical Center
Claudia Lorraine Koreny, Director of Pharmacy
(520) 324-2317
Addresses
Street Address
2715 N Wyatt Drive
Tucson, AZ 85712
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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7/15/15 Cost center line is hospice
07/15/2015
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